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A Two-Step Method to Identify Positive Deviant Physician Organizations of Accountable Care Organizations with Robust Performance Management Systems.


ABSTRACT:

Objective

To identify positive deviant (PD) physician organizations of Accountable Care Organizations (ACOs) with robust performance management systems (PMSYS).

Data source

Third National Survey of Physician Organizations (NSPO3, n = 1,398).

Study design

Organizational and external factors from NSPO3 were analyzed.

Data collection/extraction methods

Linear regression estimated the association of internal and contextual factors on PMSYS. Two cutpoints (75th/90th percentiles) identified PDs with the largest residuals and highest PMSYS scores.

Principal findings

A total of 65 and 41 PDs were identified using 75th and 90th percentiles cutpoints, respectively. The 90th percentile more strongly differentiated PDs from non-PDs. Having a high proportion of vulnerable patients appears to constrain PMSYS development.

Conclusions

Our PD identification method increases the likelihood that PD organizations selected for in-depth inquiry are high-performing organizations that exceed expectations.

SUBMITTER: Pimperl AF 

PROVIDER: S-EPMC5980166 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Publications

A Two-Step Method to Identify Positive Deviant Physician Organizations of Accountable Care Organizations with Robust Performance Management Systems.

Pimperl Alexander F AF   Rodriguez Hector P HP   Schmittdiel Julie A JA   Shortell Stephen M SM  

Health services research 20170406 3


<h4>Objective</h4>To identify positive deviant (PD) physician organizations of Accountable Care Organizations (ACOs) with robust performance management systems (PMSYS).<h4>Data source</h4>Third National Survey of Physician Organizations (NSPO3, n = 1,398).<h4>Study design</h4>Organizational and external factors from NSPO3 were analyzed.<h4>Data collection/extraction methods</h4>Linear regression estimated the association of internal and contextual factors on PMSYS. Two cutpoints (75th/90th perce  ...[more]

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